HomeMy WebLinkAboutSEP2022-00003 - 03 ASBUILTJEFFERSON COUNTY PUBLIC HEALTH.615 SHERIDAN. PORT TOWNSEND WA 98368
ASBUILT INSPECTION REPORT For RECORD DRAWING
Designer
lnstaller
Electrician
Property Owner
Site Address
NATHAN N. CLEAVER rmit # gap 2022-00003
Jos6 Ramirez - Nathan Cleaver Septic Design, lnc Parcel #021-191-006
Joe Jamison - Agate Pass Electrical Services sig n Flow 240
CATHLEEN & MICHAEL BINGAMAN
638 FORTGATE ROAD NORDLAND wA98358
Answer all questions or indicate NA RE CEI VED
DATE
INSP.
4 AUG 2022
4 AUG 2022
Tanks. Pumps and Controls SEP I 2 2022
Tank (manufacturer, size, baffles)
Pump chamber (manufacturer, size
Gal
alllon PUBLIC HEALIH
Screen(s)and/or Pump Shroud (type, location)Pumo Shroud in Pu Tank 4 AUG 2022
Orenco BioTube Filter FT|P0418-W-NC @ Outlet Baffle of Septic Tank
Were Tanks tested onsite for water tightness?No
Panel Model AQUAWORX tpc-So1 Timer Model 4 AUG 2022
16 AUG 2022Pump'1 - Man./Model Liberty Pumps 290-SERIES Flow Rate 42 qpm
Pump Location (i.e. garage, treatment unit, basemsnl; ln the Pump Tank On SW Side of Garage.
Pump 2 - Man./Mod Flow Rate oom
Pum Location a treatment unit baseme
Other Timer functions & settings (e.9. override on/off)
Yes
Float/transducer settings lnches
from bottom of tank- On/off -20.9 in
Timer
Functions: On 21 (s@min
Veto 32.3 tn Off- z sec/m
Alarm - 33.2 in Veto On -2s @.in
Storage Above High Water Alarm 395 gal Veto Off -2 sec/mir(n)
Dose Counter Reading 00000 / Veto: 00000 # gallons/dose 15120 gal
Elap. Time Meter Reading 00000:12:19 min/hrs Pump Throttled? Ves @
Dose Drawdown 1in inches) =314"in 21 gal per inch
Float/transducer settings I nches
from bottom of tank- On/off -in
Timer
Functions: On sec/min
Veto -in off -sec/min/hr
Alarm -in Veto On -sec/min
Storage Above High Water Alarm gal Veto Off -sec/min/hr
Dose Counter Reading # gallons/dose gal
Elap. Time Meter Reading min/hrs Pump Throttled? Yes / No
Dose Drawdown 1in inches)in lf additional pumps- complete the info in this table
for each and attach.
H :\WEB\ONSITE\Asbuilt_Report_Form.d oc 04 l28l 1 9page I ot' 2
Auto Clear: 2 Doses, Transducer: ZB-0A
RECE,IVED
Yes/N
sEP 1 22022
Sand Fill met design spec? Yes / No JEFFERSON COUNTY
ATU (manufacturer, model)
Disinfection Unit (manufacturer, type, model)_ lndependent Alarm Yes / No
Drainfield
Transport Pipe size, schd, diamete r2"SCH40 PVC anifold size/scnd 1" SCH40 PVC 4 AUG 2022
orifice size 1/8" Lateral 9;r"7r"66 1" SCH40 PVC
Pre-Treatment
Sandfilter basin high water alarm shuts down pump to Sandfilter
Sandfilter Basin size/location
Barrier Material
Residual Head (lat.# & ft. Head)9'-12'SQUIRT
4 AUG 2022
Filter Fabric Cover Material/Deptn Native Sandy Loam / 6" 16 AUs 2u22
16 AUG2022
The laterals/pods were balanced (YBrl ruo 1gAlJGj022
Source/Manufacturer of Drainrock/Gravelless chambers PORT ORCHARD SAND & GRAVEL
Drainrock Clean?6D No lf no, what action taken?\-----l
Mound/Glendon Site Prep
Drainfield Length 203 ft Width 3 ft Depth 6 inches
ZIP LOCK BAG @ VALVE BOX NEXT TO DRIVEWAYCaps for measuring residual head stored (location)
COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional
sheet(s) if necessa
Health Department lnspection issues resolved Yes / No / NA lf yes how?
Users Manual Provided to Homeowner
Tank/component Decommissioning Report Attach
lnstaller Certification attached/signed Yes / No
q
ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer
I CERTIFY TI(E INTORI4ATION ?ROVIDED ABOVE V)AS VERITIED BY TNS?ECTION, THE
SYSTEM U/AS IAJSTA LLED AS DESrcNED AND A??ROVED W JEFFERSOI\I COUN'7Y
06t06t22. (DATE) OR T\{AT C\{ANGES I{AVE BEEN NOTED AND
T11E LIA
ed Yes No/
.*r{ri 2+6 -272
Designer Signature
H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04l28ll9page 2 of 2
License #
o
LEGEND
r.,7- 7'1( /___1 10'No Build
Building Envelope
Setback
Existing Septic
Clean Out
Septic Tank
Filter Sock
Pump Tank
Splitter
#
Soil Log
\
o
(A)
(B)
(c)
(D)
(E)
Component
Tree
RECORD DRA\ryING 1t +
APPROXIMATE EXISTING
NIEGHBORING DRAINFIELD
\.
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PRoPERT\- LINES BASED ON CoUNT}- RECoRDS&.. #02r-197-006: 15 SEpTENIBER 2020 ; \rot. 38 pg. 401.' CONTOUR LINES SOURCED FRONI:
. Jefferson Counq.'Central Services GIS l\{apping\ t' I I'\tll
NorES;". I I I
N
I . ALL WATER I-INES TO MAINTAIN 210' SETBACK TO ALL SEPTIC COMPONENTS
2. WHERE THE WATER LINE IS LESS THAN IO'TO SEPTIC COMPONENTS IT IS'\ SLEEVED IN SCH40 pVC TO l0'MIN. DTSTANCE AWAY.
3. PROPERTY OWNER CONFIRMED THERE ARE NO WELLS ON THE PROPERTY
SCALE: 1" = 30'
THIS IS NOTASURVEY
.\.\
IGHBORING SFR
.\..
\
CRITICAL AQUIFER
RECHARGE AREA
(PER GIS MAPPING)
EXISTING TRAFFIC BARRIER
APPROX, YARD HYDRANT
APPROX, BURIED
CISTERN FOR EMERGENCY FIRE
SUPPRESSANT. (DEFUNCT)
BORING GARAGE
1OO% RESERVE
795 SQFT
FUTURE WATER LI
CONNECTION
- -EXISTING TRAFFIC BARRIER
-TI
o7
-{o
T
rn
vo
o
KILISUT HARBOR
MEASURE B
----1
SLEEVE WATER LINE WHERE,
<,IO' TO SEPTIC COMPONENTS
CROSSING DETAIL)
LINE CROSSING
(SEE CROSSING DETAIL)
STING TRAFFIC BARRIER
OO% PRIMARY AREA
(10) LATERALS; 5'O.C.
TOTAL: 203 LF
ALIGNED TO
o:
R
aptctnityE
E.
o()t Fort Gate Rd
Fort Gate Rd
\-7,
f\t'
EXISTING
,DR.IVE'WAY- -./
STUBBED UP FOR FUTURE
WATER LINE CONNECTION
ul
\t
5)(o
o
U)
2;
CP o1.8'10.4'
A1 20 5'04 4',08 4'
4.2 t4.4',
26.6',B 11.1'10.4'
APPROXIMATE SLEW LINE }
c 30.8'15.2'11 1'
r
/.t
2,
.rd,
tot
t-'
PJ
2)
Xrortr\G,
U
)d,
'-1_ - _)1
S '5g',89'45"
a
FlH
ao2
b
I
I
D 15 5'
E.1 57.O'38.7'
E.2 69.1'42.O',20.3'
1
2 53.1'34.3'
3 60.7',
4 7L.L'40.9'2L.O'
5
6 61.9'32.O'.10.5'
7 26.s',
8 2L.2'LZ s',
9 L7.L't7.o'
Nathan Cleaver Septic Design, Inc.
Phone: (360) 598-6546, Fax: 360-598-6548
262 NWThompson Road, Poulsbo, WA98370
E-mail : nathan@nathancleaver.com
10 L3.z',2L.s'.
11 28.8'40.o'
t2 29.L',36 9'
13 30.8'33 ()'
L4 32.2'30.1'
15 35.2'zE.5'
NEIGHBORING SFR
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\\ \ orr*o) BURTED
\ +owER L|NE
LRppRox. JUNcloN Box
L6 80.7'38.3'28.8'
L7 EO.3'42.6'.2E.6',
L8 7L t',56.3'3t.4',
19 79.3',26.7'39.O'
20 85.9'68.8'45.6'
CUSTOMER: MICHAEL & CATHLEEN BINGAMAN
TAX lD #: 021-191-006
LOCATION: 638 FORT GATE ROAD
NORDLAND, WA 98358
DRAWN BY: KLW,ICS
CHECKED BY: ICS
DESIGN BY: NATHAN N. CLEAVER
DATE: 2 NOV 2021 ,REY:.2? NOV 2021,
REV: 8 FEB ?O22,25 APR 2022
4 )'
t7 7'.
,,
\
EXISTING GARAGE
TO BE 2 BDRM